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SARAH A LEFFLER WAGONER MD
NPI 1700319688
Pediatrics in Tigard, OR

Active since April 06, 2017PECOS Enrolled
12442 SW SCHOLLS FERRY RD STE 205, TIGARD, OR 97223(503) 216-9140 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2023, Nov 24, 2020, Apr 14, 2017 (3 updates tracked since 2017).

About Sarah A Leffler Wagoner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH A LEFFLER WAGONER MD (NPI 1700319688) is an individual pediatrics provider in Tigard, Oregon, licensed in Oregon (MD208508) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1700319688
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSARAH A LEFFLER WAGONERCredential: MD
Location Address12442 SW SCHOLLS FERRY RD STE 205Tigard, OR 97223-0804
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(503) 216-9140
Sole ProprietorNo
Enumeration DateApril 6, 2017
Last NPPES UpdateFebruary 10, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1700319688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OR · MD208508✔ Licensed in AZ · 60238
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12442 SW SCHOLLS FERRY RD STE 205, Tigard, OR 97223
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Secondary Practice Location 1

Location 12030 W Whispering Wind DrPhoenix, AZ 85085-2853 · Phone (602) 933-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah A Leffler Wagoner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Leffler Wagoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services - Oregon
Same address
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
Tigard, OR 97223
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1093135535 (503) 216-9140
Providence Health & Services - Oregon
4.9 mi
General Acute Care Hospital
9205 SW BARNES RD
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 753 clinicians in this Medicare group
NPI 1114015971 (503) 451-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAYME RYAN JOHNSTON PHARMD
Pharmacist (Ambulatory Care)
12442 SW SCHOLLS FERRY RD STE 205
TIGARD, OR 97223
Washington County (503) 216-9140
MEGHAN R MCCARTHY PSYD
Psychologist (Clinical)
12442 SW SCHOLLS FERRY RD STE 205
TIGARD, OR 97223
Washington County (503) 216-9140
SARAH RACHEL OLLER M.D.
Pediatrics
12442 SW SCHOLLS FERRY RD STE 205
TIGARD, OR 97223
Washington County (503) 216-9140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Leffler Wagoner's NPI number?

The NPI number for Sarah Leffler Wagoner is 1700319688. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Sarah Leffler Wagoner located?

Sarah Leffler Wagoner practices at 12442 SW Scholls Ferry Rd Ste 205, Tigard, OR 97223. The listed phone number is (503) 216-9140.

What is Sarah Leffler Wagoner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sarah Leffler Wagoner enrolled in Medicare?

Yes. Sarah Leffler Wagoner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Leffler Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Leffler Wagoner reassigns Medicare benefits to 2 organizations: Providence Health & Services - Oregon (Tigard, OR) and Providence Health & Services - Oregon (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Leffler Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Leffler Wagoner accept?

Health plans from Providence Health Plan list Sarah Leffler Wagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Leffler Wagoner was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.